RIVERSIDE PHYSICIAN SERVICES INC NPI 1740206499

NPI Information

  • NPI: 1740206499
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ELIZABETH LAKES FAMILY PRACTICE
  • Address: 191 FOX HILL RD
    HAMPTON, VA
    ZIP 23669
  • Phone: (757) 850-1311

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a family medicine in Hampton, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1740206499. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elizabeth Lakes Family Practice.

The provider's business location address is:

191 FOX HILL RD
HAMPTON, VA
ZIP 23669-360
Phone: (757) 850-1311
Fax: (757) 850-7315

The provider's authorized official is Billie Jo Brown .
The authorized official title is Credentialing Manager and has the following contact phone number (757) 316-5901.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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